Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elite Dental Group, LLC

Organization Dentist · NPI 1730574799

Elite Dental Group, LLC provides Dentist services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2001 W Bethany Home Rd
Phoenix, AZ 85015-2471 Not confirmed with CMS for 11 years — call before visiting
Phone: (602) 249-9621
Fax: (602) 841-1916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 06072 (AZ)

Record details

NPI number1730574799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Youil Mamook — Owner · (602) 249-9621
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 6, 2015
Mailing address2001 W Bethany Home Rd, Phoenix, AZ 85015-2471

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